The below disqualifying
conditions are in addition to the disqualifying conditions listed in
the Military
Medical Accessions Medical Guide. Unlike medical waivers
to join the military, medical waivers for aviation duty are much harder
to come by.

a. Initial and subsequent
medical certification of Class 3 aircrew is conducted according to
this regulation, and APLs and ATBs issued by the Aviation Medicine
Approving Authority.

b. The attending
FS makes the final determination of fitness for Class 3 flying duties
with the exception of the following conditions that require submission
of an Aeromedical Summary to the Aviation Medicine Approving Authority
for final aeromedical review and disposition:

(1) Alcohol/drug
abuse or dependence; requires PERSCOM or NGB waiver.

(2) Type II decompression
sickness.

(3) Coronary artery
disease, suspected or proven.

(4) HIV seropositivity.
(Civilian employees: Normally, neither applicants for employment nor
current employees may be required to be tested for the presence of
the HIV antibody. Civilian employees are not disqualified based solely
on the presence of the HIV virus. See AR 600–110 and ATB 2, Army
Flight Surgeon’s Administrative Guide.)

c. The FS will utilize
the following guidelines for Class 3 waiver/suspension recommendations:

(1) Class 3 aircrew
with a major physical or psychological disqualification will be recommended
for suspension from flying duties. Other disqualifications may be waived
for flying duties. The FS will take into consideration the operational
duties and responsibilities of Class 3 aircrew before recommending
a waiver/suspension action to the aviation unit commander. Questionable
cases will be referred to the Aviation Medicine Approving Authority.

(2) A major physical
or psychological defect in the operational aviation environment is
defined as any defect that will—